Provider Demographics
NPI:1124400619
Name:PACITTI, ALBERT MARINO JR
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:MARINO
Last Name:PACITTI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6549
Mailing Address - Country:US
Mailing Address - Phone:443-497-2078
Mailing Address - Fax:
Practice Address - Street 1:416 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6549
Practice Address - Country:US
Practice Address - Phone:443-497-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker